Adoption Application

Please fill the application out below. If you would prefer a Word or PDF document to fill out, or if you have any questions, please email us at rescue@pawsabovecanine.com

Thank you for your interest in adopting. Once your application is reviewed we will contact you directly!

Name *

Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

Phone Number *

Are you interested in a specific dog? If so, which one?

Applicant's Age *

Please Select The Appopriate Age Category

Under 18

Age 18 to 25

Age 26 to 40

Age 41 to 65

Over 66

Your Veterinarian: *

Please provide the name of your current veterinarian (for animals you have now, or in the past 4 years)

Veterinarian's Address *

Veterinarian's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Veterinarian's Contact Info *

Phone number including area code, and email address

Personal Reference #1, Full Name *

Please provide us with personal references that we may contact in relation to your application. They must be unrelated to you, and not living with you

Personal Reference #1, Relationship To You *

Personal Reference #1, Phone Number *

Personal Reference #1, Phone Number

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###

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Personal Reference #1, Email *

Personal Reference #2, Full Name *

Please provide us with personal references that we may contact in relation to your application. They must be unrelated to you, and not living with you

Personal Reference #2, Relationship To You *

Personal Reference #2, Phone Number *

Personal Reference #2, Phone Number

(###)

###

####

Personal Reference #2, Email *

Why are you interested in adopting? *

Please tell us about your household, and what made you interested in adopting a dog!

How many hours a day will the dog be left alone? *

Where will the dog be kept when alone? *

Please be specific (I.E. crate, room, run of the house, etc.)

What kind of food will you feed your dog and what is your feeding plan? *

How do you plan to housebreak the dog or allow it to eliminate if it is not already housebroken? *

Do you have a yard that is fenced securely enough to contain a dog? *

If not, how will you exercise and/or allow the dog to eliminate outdoors?

Do you currently own any other animal? *

If not, please skip to the next section

Please provide details of your animal(s)

Such as type of animal, name, breed, sex, age, etc.

Are your pets up to date on shots and heartworm prevention?

If you selected no above, please explain why they are not

Are your pets spayed or neutered?

If you selected no above, please explain why they are not

Have you owned animals in the past, not listed above? *

If yes, please tell us why they are no longer with you: *

Please provide details regarding the above that you feel is important to your application

Have you ever been charged / convicted of animal cruelty under any municipal, provincial/state or federal regulations or laws? *

Do you have any experience with rescued animals? If so, please explain *

Rescue dogs will go through a period of adjustment when entering their new forever home. For example, they may become extremely shy, somewhat aggressive or display other negative behaviour. They may also start ‘doing their business’ inside the house or may not eat at their regular meal times. Tell us how you plan to work with your new dog to ensure this adjustment is smooth and as trouble free as possible? *

Are there any children in your household? *

If yes, how many children are there and what are their ages?

If you have children in the household, how much of the responsibility will your child be given for the care and management of the dog?

How much adult supervision will be provided when the dog and child are together?

Please list the names and ages of all co-habitants or others who frequently share your premises and/or fenced yard *

Please select which residence is applicable to you *

Are you willing to permit a home check? *

Thank you for your submission. Once we have reviewed your application we will contact you. Please allow at least 48 hours for us to review your application.